SKILLED NURSING FACILITY / NURSING FACILITY DISTINCT PART
Created on: 07/25/2025
Posted to the Web on: 08/06/2025
Basic Information
FACILITY CONTACT INFORMATION:
Address: 313 POPLAR ST
City: LOOGOOTEE
Telephone: (812) 295-4433
Web Site:
NAME CHANGES:
Most recent name change: N/A
Date of most recent name change: N/A
LICENSE INFORMATION:
License number: 25-000571-1
License effective date: 01/01/2025
License expiration date: 12/31/2025
Administration and Staff
Administrator: DEVON CRAM
Start date: 04/30/2025
Director of Nursing: ABBY BROWN
Start date: 11/30/2020
Medical director: Kiran Burla
Start date: / /
Wound care specialist:
Start date: / /
Infection preventionist: Abby Brown
Start date: / /
Ownership
CURENT OWNERSHIP:
Owning corporation: PULASKI MEMORIAL HOSPITAL
616 E 13TH STREET
WINAMAC IN 46996
Ownership type: PROFIT
Officer(s): MICHAEL MCKAY
LINDA WEBB
CHARLES HUTTON
GREGG MALOTT
CLINT KAUFFMAN
STEVE JAROSINSKI
ADAM BENNETT
JENNIFER SMITH
TAYLOR WHITE
JENNIFER MELLON
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: MAJOR HOSPITAL
Date of last change of ownership: 01/01/2022
Bed Counts and Census
COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF): 0
Number of Medicare beds (SNF): 7
Number of Medicare/Medicaid beds (SNF/NF): 55
Number of non-certified comprehensive care beds (State Licensed only): 0
Total number of comprehensive care beds: 62
RESIDENTIAL CARE BEDS:
Total number of residential beds: 0
Total number of beds in facility: 62
CENSUS:
Facility census: 35
As reported by the facility on: 07/02/2024
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 07/02/2024
Residential care beds occupied: 0
As reported by the facility on: 07/02/2024
Alzheimer Beds: 0
Alzheimer Beds Occupied: 0
As reported by the facility on: / /
Ventilator Beds: 0
Ventilator Beds Occupied: 0
As reported by the facility on: / /
Sprinklers and Smoke Detectors
This facility is: FULLY SPRINKLERED
Number of comprehensive care resident rooms: 31
Number of comprehensive care resident rooms with battery
operated smoke detectors: 0
Number of comprehensive care resident rooms
with hard wired and/or wireless smoke detectors: 31
If hard wired and/or wireless smoke detectors are provided in resident's room, do they:
(A) Provide a visual and audible signal at the nurses'stations that attend each room? - Yes
(B) Transmit to a central station service - Yes
(C) Connect to the health facility's fire alarm system - Yes
Person completing form - KRIS BEASLEY
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. MAINTENANCE SUPERVIS
Date form completed - 05/01/2025
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 02/19/2002
Nurse aide training and competency evaluation program (NATCEP) expires: 04/01/2004
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 09/11/2026
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites:
NORTH LAWRENCE CAREER CENTER
Approved: 07/06/2021
Terminated: 04/29/2021
TWIN RIVERS AREA MEDICAL CAREERS
Approved: 08/17/1996
Terminated: 10/05/2005
SYCAMORE CARE STRATEGIES
Approved: 09/28/1999
Terminated: 01/31/2006
POPLAR CARE STRATEGIES
Approved: 03/10/1998
Terminated: 11/27/2009
TWIN RIVERS HEALTH CAREERS
Approved: 08/19/2015
Terminated: 04/29/2021
RISE UP HEALTH CARE ACADEMY
Approved: 07/18/2024
Terminated: 09/12/2024
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS:
Current year: 0
Previous year: 0
2 years previous: 0
Facility Report Card
03/01/2020 Current QTR
12/01/2019 Previous QTR
09/01/2019 Previous QTR
06/01/2019 Previous QTR
Report Card Score
383
407
407
407
Rank of Score
36
23
26
26
Average Score
302
296
295
296
*Facility report card scores have not been updated since March 1, 2020 due to changes in the survey process during the ongoing COVID-19 pandemic.
The facility report card score is calculated four times per calendar year
for the two most recent nursing home health surveys. The facility report card score
also includes all complaint surveys, life safety code surveys, emergency preparedness surveys,
and any follow-up surveys that occur within the two most recent nursing home health surveys.
The facility report card score ranges from 500 to 0, with 500 being the best score possible.
View the Scope and Severity gridView the scoring methodology
Overview of Survey findings
The Most Recent Set
2ND Most Recent Set
3RD Most Recent Set
Immediate Jeopardy
Yes
No
No
Substandard Quality of Care
Yes
No
No
Administrator Change
Yes
Yes
Yes
Owner Change
No
Yes
No
Number of Substantiated Complaints With Deficiencies
0
0
0
Deficiency Free Standard Health Survey
No
No
No
The term 'Recent Set' referenced above relates to the referenced annual survey,
and any other surveys performed between it and the previous annual survey.
Enforcement Actions
Federal Certification Actions Imposed
Civil Money Penalty
Date Imposed: 09/12/2024 Date Ended: 09/12/2024
Amount proposed per day:
Date terminated from Medicare/Medicaid: N/A
Survey History
The survey report is not posted until the report has been provided to the facility and their plan of correction submitted and approved.
The survey report therefore will likely not be posted until four to six weeks after the exit date.
In the grid below click on an event ID that is underlined to see the survey report for that event.
